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Training Tools
Billing Resources
- BCBSM PDCM Commercial and MA Billing Guidelines - (Updated April 2026)
- Scope of Service for Unlicensed Care Team Members
As a general PDCM guideline, all participants should operate within their scope of practice and clearly document services provided, including information to support the medical necessity of the service. This sample standing agreement may vary based upon organizational structure and can be used as a guide in developing the particular agreement for each practice and/or organization. - Groups Not Participating in PDCM (Excel Spreadsheet - Updated January 2026)
- BCN and BCN Advantage℠ PDCM FAQs (PDF - Updated March 2023)
- Multipayer Table: BCBSM PDCM and Priority Health (PDF- Updated 2025)